conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: gud evening doc!my husband is in dubai right now,hes not feling well but he continue his work.he has cough,,his fever is on and off the worst thing that he feel right now is backpain in upper part of his body,,what do u think he sufer right now??pls answer and thank u! Doctor: tell him to check for tlc dlc and platelets count and chest Xray,if possible it can be only viral fever and malaise for which he should have Paracetamol 650 mg thrice daily and should take rest lot of water and vitamins will be benificial for him."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cold,cough,fever and back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My husband is 28yrs old.. He started with itching on his forearm & top of hand about a week ago and then followed tiny bumps you couldn t see unless you really looked closely..Shortly after his chest,arms,legs,tops of feet,and hands were covered in what looks like a rash of some sort.. His hands are the worst.. He has tiny bumps that are filled with clear fluid and come in groups or single spots.. He says they do not hurt just feels really gross.. I have had scabies before and they look NOTHING like that.. We went to the ER today and the doctor told him it looks like a food allergy and prescribed him prednisone and atarex .. I m not sure he is happy with the diagnosis so I am trying to get a second opinion Doctor: Hello, It is not common to develop a food allergy at this age although not impossible. if the rashes he had developed were definitely after eating a specific food (which must happen every time) then a diagnosis of rash secondary to food allergy is plausible. What you describe is something like cholinergic urticaria, a form of urticaria (this is not allergy in >80% of cases) that is triggered by temperature changes and mast cell release of mediators like histamine. Scabies is also a possibility that is intensely itchy and needs to be excluded with a careful examination, skin scrapings or a course of treatment if there is high clinical suspicion. Atarax is a strong antihistamine (sedative, so take at night) and prednisolone must be stopped after 5 days giving atarax a chance to work. You can switch to non-sedative antihistamines like fexofenadine or cetirizine. There is no blood test for a definitive diagnosis but thyroid disease or diabetes need to be excluded along with a complete blood count to ensure there is no infectious trigger. Hope that helps."
},
{
"from": "gpt",
"value": "Target: Bumps on arm that itch. Is it a food allergy? Take prednisone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: is it a normal that altered signals are seen in the bone around the knee representing marrow conversion , with mild to moderate knee effusion in right knee . is it normal this type of bone marrow alteration. i had a history of gaint cell tumor in left knee and scalosis adenosis in left breast. Doctor: completely normal you should focus on strengthening your quadriceps but avoid knee flextion more than 45 degree during training , this will help veinous return and reduce swellingGood Luck"
},
{
"from": "gpt",
"value": "Target: Is it normal for the bone around the knee with marrow conversion with effusion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I accidentally took the second morning after pill yesterday at 5 pm. felt a sharp pain and discomfort in my rib a few hours later then took the first morning after pill the next day at 1 pm. It is now 5 pm and again i feel the sharp pain in my rib. Is this a normal side affect? Doctor: Hello,The morning after pill can cause muscle cramps. So, it might be a side effect of the medication. I suggest using warm compresses at the painful area. If the pain continue, I suggest using painkillers such as Ibuprofen for pain relieve.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is pain in my rib after medicine intake, a normal side effect?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I get a high fever once a week for a few hours. I ve had abdominal pain for about six months and recently started caughing up bloody phlem. Doctor: Hi Welcome to health care magic it definitely needs complete work up to find the cause & get it treated.High fever once a week is not normal.there must be some hidden ailment. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and speedy recovery” Disclaimer"
},
{
"from": "gpt",
"value": "Target: Why do i get blood phlem when i cough and have abdominal pain since 6 months ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad has been having chest pains. He just went to the doctor and the EKG, blood work and stress test was all ok. They have him scheduled Monday for a gallbladder scan. Is this a normal procedure? He has worked hard the past 2 days cleaning out his garage... could he have done something else? What do you recommend that we do to ensure proper care? Doctor: HelloYour doctor has rightly advised for ultrasound of abdomen(to scan gall bladder etc).Many conditions like gall bladder calculus may cause chest pain.Since all investigations related to chest are normal,it is important to investigate abdomen.Abdominal pathology like problem in liver,gall balder,pancreas,spleen etc may cause chest pain,so ultrasound of abdomen is important.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Why is gallbladder scan done for chest pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi im a Masters student in china, 4 month before cervical tuberculosis lymphadenitis was diagnosed by a doctor in my home country, first of all i take Myrin P tablets for 3 months and now a days i m taking Myrin tablets,please tell me how long the cervical tuberculous lymphadenitis disease treatment is to be continued?, WHO recommend 6 months course, i have read many articles about cervical TB so im confused because some author written 6 and some 9 months, now a days i don t have swelling on my Lymph nodes, can anyone tell me duration of the cervical TB treatment? Doctor: Hello,You should clearly follow the WHO recommended treatment course of six months.Make sure that you take this trratment regularly without any break.A irregular treatment leads to drug resistant TB which becomes a difficult problem to cure.Thanks"
},
{
"from": "gpt",
"value": "Target: What is the duration of treatment for cervical tuberculous lymphadenitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI MY NAME IS CARLA IN 21 YRS OLD IM HAVING A IRREGULAR PROBLEM WITH MY MENSTRUAL PERIOD THIS IS MY FIRST TIME IN 4 MONTHS THAT I GET IT I HAVE VERY BAD CRAMPS...iM SCARED AND ALSO I BEEN TRYING TO GET PREGNANT FOR ABOUT A YEAR AND IS JUST NOT WORKING FOR ME DR CAN YOU PLEASE HELP ME Doctor: Hi sigalcarla.welcome.don't get panicky.what u are supposed to do is thorough examination which includes FSH,LH,PROLACTIN studies along with HSG nd ultrasound abdomen for your uterus nd ovarian studies.once u are through these only then proper treatment can be contemplated.good luck"
},
{
"from": "gpt",
"value": "Target: How to get pregnant if i have irregular periods ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was trying to do the front splits when my leg slipped and I went all the way down without stretching...during the fall my hip/quad/hamstring popped several times. This was 4 days ago and I am still in pain, swollen, no bruising, but am not able to tense the muscle at all! Is this something I should see a dr about?? Doctor: Hello, It could be a muscle spasm. If symptoms persist you can consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Should I see a doctor as not able to tense the muscle at all?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a 49 YR old woman going to have Gallbladder removed my gallstone completely fills my gallbladder it is almost 4 cm my DOCTOR GAVE me an option HE said I CAN LIVE a LONG healthy LIFE WITH IT AND BE fine.. OR HAVE it removed it s UP TO ME.WHAT is YOUR opinion? CAN YOU develope all sorts of OTHER organ ISSUES? And is IT true YOU ONLY have a 7 Year span to live AFTER surgery? And WITH THAT large OF a stone what would you DO GET YOUR gallbladder removed or just LIVE with it? Doctor: HelloThanks for query .You have been detected to have large stone in gall bladder without any symptoms and you are in dilemma whether to get operated or to live it alone and carry on as it is .I would like to place both the facts and pros and cons for consideration.1)Consider a situation if you decide to live it alone there are certain risk involved A) There is some risk of it developing in to cancer of the gall bladder B) You may get attacks of pain in abdomen off and on due to Cholecystitis(Infection) C) You will always have dyspepsia due to gall stone .In in a scenario if you decide to get it removed you will be free from all these risks and have a normal peaceful life .With advent of technology and expertise this is very simple surgery with no morbidity or mortality .If I were be in your position I would certainly get operated and removed a diseased gall bladder .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What is the life expectancy post gallstone removal in woman?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother has been diagnosed with lymphoma/Hodgkinsons - and he did have glandular fever almost 4 years ago. He saw his GP twice about a lump at the back of his neck almost 6 months ago and they didn't do a bipopsy just a blood test and gave him medication for an ear disorder. He is only 25 and awaiting a full diagnosis of the stage and type of cancer he has but we're trying to move him to Royal Marsden which is near our home as he is alone in Scotland and family need to be with him- but the hospital is not supporting us and now he is still not had a complete prognosis or any kind of treatment. What are his survival chances and how can we move him urgently and start the treatment? Anything will be very helpful tight now Doctor: hello....for hodgekin's lymphoma prognosis is good..he will respond well to chemotherapy(cancer drug regime) and its fully curable. however first the diagnosis should be confirmed early. to start with you should get a FNA done (fine needle aspiration cytology). if it is suggestive of HL,then you need to undergo excisional biopsy of the lymph node. if this turns out positive, immediately take him to cancer institute where chemotherapy can be started. he will also have to undergo USG ABDOMEN LOOK FOR axillary and inguinal lymphnode enlargement to assess the extent of disease.dont worry... it has good prognosis."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for Hodgkin's lymphoma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I'm 33 and never had sex partner in life but masturbate regularly. I find a little drop of semen discharge after urination most of the time. It is colorless and mostly happen after urination. I'm worried if it is a loss of sperm and will effect my fertility if i have marriage life which I'm planning to start now. Doctor: DearWe understand your concernsI went through your details. You don't have to worry. This is not semen loss. Please understand, semen is not stored within your body. It is being produced whenever you are sexually aroused. Your body is capable to produce semen throughout your life period if you are healthy. Drops of semen with urine, is natural and is an automatic process. Please do not obsess with such incidents. Reduce the masturbation frequency and engage yourself in physical activities and games.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: What causes semen discharge after urination?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have hyper sensitive skin hence I m allergic to minoxidil. Though I m aware that hair loss is in my genes but still trying all sort of treatment to get healthy hair. I have hypo thyroid and a year back I was affected by a very rare neurological disease called the GB syndrome. And because of which I had been given intravenous immunoglobulin. After this treatment I had a considerable amount of hair loss. My hair has become dry and thin and I have receding hairline. Hair from The top front of my head is almost disappearing. Recently I have showed a dermatologist and who has prescribed me to apply Alpecine liquid in the morning and QSera serum at night before going to bed. Please suggest if there is anything else which I need to apply or do to regain my hair growth And also to have beautiful long healthy hair which would last forever. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Thinning and receding anterior hairline are classical features of Androgenetic alopecia. I suggest you to use minoxidil 5% solution. In addition i suggest you to take Finasteride tablet. Both of these are the only approved remedies for Androgenetic alopecia in males. The serums and liquid that you are using do not have any proven efficacy in Androgenetic alopecia. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment to regain hair growth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 2 year old daughter she had a fever of around 102 for 3 days last week. It has broke and not come back but my daughter has been very irritable and lacking in appetite. Today she woke up with a little patch of blood by her mouth. I noticed her gums were bleeding and very red. what could be causing this? Doctor: HI..by what yo quote I feel that it could be a viral illness or a viral hemorrhagic fever which might be causing low platelet count like Dengue.In dengue fever, rather than platelet count...most important things are - 1. Swelling and water accumulation all over the body.2. Decreased urine output3. Respiratory distress4. Seizures5. Regarding lab tests - PCV or Hematocrit is more important than platelet count. If it is above 38 and the kid is not drinking water well, we need to hospitalize and start intravenous fluids.What you need to do is - watch for the above danger signs and if they develop rush to nearest emergency room.RIGHT NOW I FEEL THAT YOU SHOULD TAKE THE KID TO THE NEAREST EMERGENCY ROOM.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What cause high fever and patch of blood from mouth in 2 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I ve had a copper IUD fitter for around 5 years now. It has caused me some problems with my periods as they are usually extremely heavy and smelly (before I had it fitted they were really light). I do have poly cystic ovaries so occasionally get tummy pains. I ve noticed over the last few months I ve had a potent smell from my vagina. It is really bad that people notice it but I notice it, sometimes in my discharge. I ve read online it could be BV but people symptoms seem worse than mine & it isn t fishy, it s more like an ammonia coppery smell. Could this be from the coil? Would you advise to have it removed? Doctor: HelloHealth care magic user I understood your concern and My opinion is that IUD does not causes foul smelling discharge, you must be having vaginal infection/pelvic infection that's why you are having foul smelling discharge, please take following tablet for 7 days T Doxycycline 100 mg 1-1 T Metrogyl 400 mg 1-1-1 Clingen vaginal pessary for 6 days If your discharge doesn't reduce than i will advise you to remove IUD after doing ultrasonographyI hope my answers help you Thanks"
},
{
"from": "gpt",
"value": "Target: Does IUD cause foul smelling vaginal discharge?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband used to have a growth next to his testicles in the sack 10 years ago which was checked out by a GP and was reassured it was \"OK\" it was just a growth which 2-3 years later \"vanished\" on it's own. Now we can't get pregnant. Could it be the problem on his side if everything is ok with me? Doctor: HelloI can understand your concerns.If the growth has vanished was labelled 'ok' by your GP, i think you should not worry about this.I would suggest for your husband to get semen analysis done. This would determine the fertile capacity.Please revert back with the reports or consult your nearest infertility specialist.Thanks."
},
{
"from": "gpt",
"value": "Target: Can a growth near the testiclea in past cause infertility problems?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has a rash all over his body..it is itchy and sometimes burns and oozes..he has been under care of dermatologist, primary dr and allergist who think he should see a rheumatologist. I have been researching and think he has vasculitis. Is there a treatment to clear the rash. Doctor: Hi, Consult a dermatologist and get evaluated. As of now, you can apply topical antibiotics like Mupirocin for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes body rashes with itching and oozing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My ten year old son has had issues with being backed up and as soon as he is done eating he has to have a bowl movement. A couple of years ago they confirmed this my an xray. He still does that but over the past two years he has become overweight. Could this be from the same issue? Doctor: Hi, It is very unlikely that both frequent bowel movements and weight gain will go hand in hand unless it's due to some medication intake (eg. steroid intake). Your son has two issues 1. increased gastro-colic reflex ( passing stools after eating) and 2. overweight. Increased gastrocolic reflux might be due to infections, irritable bowel syndrome or inflammatory bowel disease. Overweight may be due to decreased physical activity or increased food intake. I would suggest you keep a check over the diet and physical activity, which would help in reducing weight. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nirubhan Bharathy, Pediatrician"
},
{
"from": "gpt",
"value": "Target: What causes weight gain and frequent bowel movements in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...hi my name is zully am from Kenya,my son keeps on weaking up every after 1 to 2 hour through out the night,he is polluting alot,i try giving him all the medicines e.g gripe water,disflityl etc,,but still wount help what could the problem be,when will i sleep like other mothers,he is not breastfeeding. Doctor: Hi, If your son is 2 years old or younger, this is a normal thing. Milk can produce these gases. Keep on giving him the medications you have and it will go away in time. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes the infant to wake up every hour in the night?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: His, omany I a6nswer your health queries right now ? Please type your query here...My son, 6, has been suffering from allergic astama since child hood. Whenever there is some change is weather, he catches cough, cold and later fever. Soution is Britanyl, myteka and some antibioatic. Can I continously give Myteka, Britanyl to avoid him catching astama. Doctor: Myteka can be given daily to prevent attack of asthma. But it is not first line drug in children. Inhaler therapy using asthalin and budesonide is preferred over myteka in children."
},
{
"from": "gpt",
"value": "Target: Can Myteka and Britanyl be given continuously to avoid asthma in 6 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: nowadays i feel that breathing is not easy for me.i have to concentrate on it to take breathe. when i concentrate at work it allways comes on mind that my breathing is not proper,although i doesno face any other physical problem at that time. but then also i stop from work and take breathe and return to work then.. I dont have any pain on chest or any other problem.. is this a indication of heart disease???? i am 20yrs old, 5ft 6inch tall and no other medical problem... Doctor: Hi,Your complaints are more likely to be caused by anxiety than by heart disease. Just try not to concentrate on it and they will gradually disappear.Take careCome back if you have any further questions"
},
{
"from": "gpt",
"value": "Target: Could the shortness of breath be the indication of heart problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i met with an accident on 15th of this month, subsequent i mri nvestigation revealed the following vertical, oblique tear at the free margin of posterior and anterior horn of lateral meniscus . complete tear in the proximal portion of anterior cruciate rigament. . Grade I medial collateral ligament . . Complete tear in mid portion of patellar tendon . my friends suggested me to go for puthur kattu remedy which i am following, but still i am not sure how to treat this please advice regards sarathi Doctor: Hello Sarathi,How are you feeling now? I hope the pain and inflammation has reduced by now. Are you at bed rest? Is it immobilized or have you started walking/working?I have heard about Puttur Kattu. Although I do not practice it, I have come across a lot of patients who have taken that treatment for various problems - some got relief, some didn't. So I would not like to comment on it and its efficacy.In my clinic, I treat such cases in a classical Ayurvedic way - in a non-invasive method. It includes taking of internal medicines like Kashayam and also arishtams like Balaarishtam. Along with that some external treatment like \"Kizhi\" and \"Lepanam\" will be done, where a paste of various medicines is applied.The idea behind it is to apply heat and medicines to enhance healing and also strengthening the entire tissues surrounding the joint. Take care.Regards,Dr Gautham"
},
{
"from": "gpt",
"value": "Target: MRI after accident showed grade I medial collateral ligament. Should I try puthur kattu remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, i am a 35 yr. old women experiencing numbness in my left thumb for three weeks.. neurologist told me i have pinced nerves in my neck but wants to wait to see if things worsen before getting an MRI.. since then i have had tingling sensations very strong in my arm and light ones in my legs and feet.. today tingling and burning has started in my face.. would a pinched nerve cause this in my face? Doctor: Hello,May be suffering from neuropathic pain it may be due to B12 deficiency or compression of nerve etc. Until examination is done it is difficult to say what it is. Get it done seum 12 levels, nerve conduction study, MRI spine and get treated accordingly. You may use tablet pregabalin 75 mg once a day for five days. If no improvement please consult with your neurophysician he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Could pinched nerve cause numbness in thumb,tingling in arms and legs and face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...My 4 year old daughter has run a 99.5-99.6 fever for one week. Initially she complained of sore throat and coughed for 2 days. Doctor said to watch it. Now, she is just tired. Should I bring her to pediatrician tomorrow? Doctor: Yes, you should immediately take her to pediatrician. She is suffering from respiratory infection which has not subsided yet and need assistance of medications (Antibiotics and antipyretics) to overcome her ilness. He might suggest you blood investigation to evaluate exact condition."
},
{
"from": "gpt",
"value": "Target: Suggest medication for fever and sore throat"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my 3 yr old daughter fell and hurt her vagina with the corner of her chair.I looked at it and it has a small cut by the pee whole and it hurts her terribly.She wants to pee but she screams her lungs out since it hurts so much so she s been holding it since last night.is there any over the counter ointment i can use to help her with the pain? Doctor: Hi,It seems that there might be having injury on urethral opening or surrounding producing induration giving rise difficulty in passing urine.Apply antibiotic cream locally and give some analgesic medicine like paracetamol.Afterwards take her to your doctor and get examined for extentand nature of injury.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest medication for healing a cut on vagina in child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr.! My mother had brain stroke 4 years ago on the left side. She has been bed ridden since then. She has recoverd a bit in last 4 years in terms of eating and undertanding things. But she speaks abroptly a lot specially when sun rises. She speaks whole day but as sun sets she calms down in the evening and later we give her sleeping medicine and she sleeps. I was wondering if there is any medicine to control her abrupt speaking. Doctor: Hello,Anti-psychotic drugs (like risperidone) can help calm her down and reduce her impulsivity. You should discuss with her doctor on the above treatment option.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest medication for abrupt speaking after a brain stroke"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sometimes my hands and feet get so itchy and then turn red the swell very very big and I feel dizzy, Just now i took off my shoes and they immediately turned red started to swell and itched for such a long time my feet itch so bad alot and my blood sugar is great all the time please help me figure out what this might be. Doctor: Hi. Thanks for posting your concern at HCMYou seem to be suffering from Hives OR urticariaI would definately advice that you visit a dermatologist for a proper assessment of the rash.Urticaria OR hives can occur due to various causes like(to name a few) infections(bacterial , viral, fungal), drugs, certain foods, cold temperature, in response to strong emotions, exercise, pressure (prolonged standing, sitting), in autoimmune disorders like SLE, RA etc. A few cases have no underlying cause and are known as idiopathic urticaria.I would advice you to get few basic lab tests like Hemogram, stool for ova/cyst, Urine routine, Chest Xray.An oral antihistamine like Fexofenadine OR Loratadine once or twice daily for a week would be suitable. They are non-sedating and wont affect your alertness level.a topical soothing lotion like calamine would help you symptomatically.If your Urticaria still does'nt get better you might require a short course of oral steroids.take care"
},
{
"from": "gpt",
"value": "Target: What could cause redness and itching in hands followed with dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hai My daugther has been advised to take T.Montek LC Kid for 30 days. She is now 31/2 yrs old frequently she is getting cold. She is a primary complex child. I have give tablet for that as 9 months course with doctor advise. Can i give here that tablet? Doctor: Hi,Thank you for asking question on health care magic.You continue treatment for primary complex.Montek LC kid is OK for your child.If you are not happy with the result you may switch on to Ebastine syrup with your doctors advice.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: Is it safe to give Montek LC kid for frequent cold?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have post herpatic neuralga from shingles and it is the 5th cranial nerve running from the top of my headdown the center of my nose to the top lip thru my right ear and back to the top of my head. It has also infected my right eye and around the eye socket. This began in July. I want to know how to use boric acid powder as an eye cleanser. I have been using restasis and refresh but my eye is still red. Doctor: Hello thanks for asking from HCMPost herpatic neuralgia is a common complication of Shingles. The virus lies dormant in nerves and it causes severe neurological pain. You have pain in distribution of fifth cranial nerve. You also have red eyes due to spread of local infection.For severe pain medicines like Gabapentine, Pregabalin can help. These medicines help to reduce severe pain of neuralgia. The treatment should be taken for at least 2-4 weeks. Along with these medicines if pain remain persistent then medicines like Amitryptiline, Nortryptiline can help. These medicines along with gabapentine helps to reduce severe pain. Consult your doctor for prescription.Boric acid powder can be mixed with sterile water and you can used this solution three to four time a day. This will help in relief. Consult a ophthalmologist if infection persist and redness remains.Thanks, hope this helps you"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for post herpatic neuralga from shingles"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 26 weeks pegnant, an dhave been to pass urine. once i had finished and wiped i stood up and had a leak, i did not feel it coming and could not catch it in time with a tissue so it ran down my leg i am worried it may be amniotic fluid, however if this was the case would it be more frequent? this has happened to me approximately 5 times in the past month. i can go over a week without it happening Doctor: Hello dear,I understand your concern.In my opinion there cannot be frequent leaking fluid.It might be vaginal discharge.But anyways physical examination and ultrasound help in the accurate diagnosis.Less liquor is associated with decreased fetal movement.So check for the fetal movements.Nothing to worry.Take adequate fluids upto 3 litres per day.Best regards..."
},
{
"from": "gpt",
"value": "Target: What does leaking of fluid during pregnancy indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I recently had two gold crowns put onto two of my right lower molars, however it has been two wks and I am stii have sensivity to cold and a bit of tenderness to a stong bite when I chew on that side of my mought. My dentist told me that my teeth did not need a root canal and the caps were put on pefectly and that I should give my tooth some time to settle and adjust the crown. I have had crowns done b4 and this did not happen and I am worried that something is wrong and the crowns will have to removed and re installed to fix what is wrong but my dentist thinks that in time it would be okay with soem prescription strenght floride toothpaste but I do not know what to believe or do. Doctor: Hi Dear ,Welcome to HCM.Understanding your concern. As per your query you have symptoms of cold sensitivity and tenderness in teeth after a root canal which is due to accumulation of pus below the root tips of the tooth and which sometimes occur due to leftover infection even after root canal. Sometimes sensitivity occurs due to nerve injury.Need not to worry. I would suggest you to consult endodontist again and get evaluated and get IOPA(x-ray) of that tooth done to find any infection. Doctor may irrigate tooth and can prescribe antibiotics along with anti inflammatory medications. Avoid intake of sharp and sticky food. For now take ibuprofen or acetaminophen for pain and do warm saline rinses several times a day . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes cold sensitivity and tenderness in teeth after a root canal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir , my name is AJAY. from canberra. i would like to know the dosage of advent suspension for girl . she is one year old baby. advent is amoxycillin(200mg) + clavulanic acid (28.5 mg). it was prescribed for otitis media and sinusitis. please help me. Thank you Doctor: Hi....its 40mg/kg/day of Amoxycillin base in 2 divided doses. So if the kid is 10kg, the dose is 5ml twice a day. You can calculate based on the above method.If you can get back with the weight, I can guide you through. You cannot understand what I have explained, kindly post a direct query and I will be glad to help.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What is the dosage of the medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: regarding the motion / car sickness for children this grandchild of mine is 22 mos. her father (our son) as well as I (grandma) would also suffer from it. what can be done for the infant? eat very little before traveling, and watch the intake? thanks, for ur help Doctor: Hi..the best medicine for this is Promethazine, but this is not licensed to be used till 3 years of age. Under feeding a kid for whatever reason is not a solution. Please do not do that.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest medication for motion sickness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was on Clomiphene combined with FSH injection along with metformin 1000 sr tablets for this cycle My follicle size was 23mm on the rt and 11 mm on the left on 13th day. On 16th day, it showed that 23mm had ruptured and the 11m had become 18mm and another one has emerged at 15mm on the right side. What is this case.. i am tottaly confused.. Doctor: Hi welcome to healthcaremagic.I have gone through your question.You are on clomiphene with metformin and fsh inj, clomiphene induce ovarian stimulation and enlarge the follicle size.Clomiphene may cause overstimulation and due to this many follicles attain the maturation size, as it happens in your case, although one follicle ruptured and second one is emerging in size.Ruptured follicle can become helpful in fertilization.So no need to worry regarding 15 mm size follicle.Hope i answered your question.Would be happy to help you further.Take care."
},
{
"from": "gpt",
"value": "Target: What do the follicular study findings suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I would like to know about yeast infection in my mouth and throat, I have white patches in my mouth, it hurts when I swallow and when I eat blueberries, strawberries my inside of my mouth burns and stings. This keeps coming back and I'm getting tired of this I want to know what else can I do to help it naturally.Thank-you, Denise Doctor: HiWith your query, it would have been if you had mentioned whether you have any adverse habits like smoking, pan chewing or tobacco chewing if you have kindly discontinue better is stop the habit.What nature of work you do is it stressfull? if so please reduce the stress load and have adequate rest along with good hygenic and nutritious food. Infection what you have might be candidiasis which is an opputunistic infection so nothing to worry about it. It would be if you visit your dentist or ENT specialist for the best treatment unless without visualisation and confirming the diagnosis using or suggesting the treatment is not good so kindly visit your doctors. Hope this helps you"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for yeast infection in mouth and throat"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Age: 23 yrs Height: 5.1Weight: 37 kgactually i have consulted skin specialist he gave me the ointment glyhakoj but complexion changed but temporarily means only upto that ointment is applied. So, what can be used for the fairness(face) which remains as natural and permanent life long? Doctor: Hello,I can understand your coencnern for fairness and that too for permanat basis.To tell you regarding the skin color- our skin color is determined by the activity of particular cell known as Melanocytes. These melanocytes are secreting color according to the genetic basis. It means if a person has more activity then we can not change it by any medications.SO for you also I suggest you to not to get carried away by anything to get fairer. There is nothing in this world which can change our genetic capacity to secret color.Eat your best of nutritional diet and protect yourself form sunlight.All the best."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for permanent fairness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have a pain in the right hand side of my chest wich us constant. It hurts to move and I gota press on it when I cough cause its like a knife going in and twisting. It's only on one spot though. When I stand normally it's like a throbbing pain that contracts my stomach mucels. I krinch when I do sudden movements Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Your chest pain is associated with movements, so possibility of musculoskeletal pain is more. But better to get done chest x ray first to rule out lung related causes because your pain is also associated with cough. If chest x ray is normal then no need to worry for lung diseases. Musculoskeletal pain is more likely in your case. So avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant drugs. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes constant pain in right side of chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 24 yrs old .i hv left ovarian cyst having size 67mm ang right ovarian cyst having size 28mm.drs suggest me for surgery. i had taken ayurvedic medicine but no good result appear rather than size increases upto 67 mm.can it be removed or dissolved by homeopathy medicine. Doctor: Hello Patient,Homeopathy has great scope in the treatment of ovarian cysts. Since the basis of any ovarian cyst is hormonal imbalance, it would be better if you submit a complete case history for the constitutional homeopathic medicine. This will not only take care of the cyst but also prevent further recurrence.Although I can confidently state that the 28 mm cyst will get dissolved, the bigger cyst can take some more time. You can send your reports to [email protected] for further specific guidance. In the meantime start with FERRUM PHOS 6X, NATRUM SULPH 6X & CALCAREA SULPH 6X 3 pills each, thrice a day.If you have having periods problems, you can also take BIO-COMBINATION NO. 15. All these medicines will be available at any homeopathic pharmacy.All the best!"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for ovarian cyst"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir, I am 28 years old married guy and below are the particulars of my sperm test report. Please have a look into this and interpret the results to me.. I am concerned whether I am sexually normal or do I need to consult a doctor for a baby. Volume: 0.5 ml Viscosity: Thin Reaction: Alkaline Sperm Count: 65 million/ml Active Motile: 60% Sluggish: 10% Non Motile: 30% Epithelial Cells: NIL Pus Cells: 2-3/HPF Erythrocytes: 0-1/HPF Morphology Normal: 80% Abnormal: 20% Others: NIL I am waiting for a quick reply. Thanks in advance for your support. Doctor: your sperm count morphology motility in all in normal range except for volume ... A low volume ( less than 1 ml) is an uncommon problem, and is often due to incomplete ejaculation ( which is not rare because of the stress of producing a sample in the lab !) or spillage.other than this a low volume might indicate an obstruction...."
},
{
"from": "gpt",
"value": "Target: Sperm test report-Is it normal ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my last period start on 6th Oct.12 and still i don t get periods yet.heavy abdominal cramp all the day and night time its terrible and unbearable.having 03 fibroid and largest one is 6 x 8 cm.I have done 03 home pregnant test and all negative.please advice.. Doctor: Hi! Good evening. I am Dr Shareef answering your query.Even though abdominal cramps could be caused by very many factor including a food poisoning, the fibroid could also do the same specially if there is a hemorrhage inside the fibroid in the uterus. If I were your doctor, I would refer you to a gynaecologist for complete clinical examiantion, routine blood investigations, and then possibly motivate you for a hysterectomy (laparoscopic) which is a definitive treatment of the condition.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: Could abdominal cramps be caused by fibroid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm a 34yr. Old woman, my youngest is 4. My husband & I have been ttc for this entire time. Not one pregnancy at all!!! I have taken unprescribed clomiphene 100 mg. day 3~7. I have only my left tube due to an interstitial ectopic, 5 yrs ago. My cycles are 2~3 days long, I started my cycle when I was 10. This is very depressing, I really want another child before its too late or is it??? Any hope for me??? Doctor: You can become pregnant. If your cycles are regular just take care of your mid cycle. But in my opinion consult your gynaecologist, don't take unprescribed drugs. Get yourself check, as well as go for few blood tests and usg."
},
{
"from": "gpt",
"value": "Target: What is the best treatment to get pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mom was diagnosed thyroid CA in 2001.Radiation therapy was done.she is taking thyrax since then.Last Feb. she went to see a Dr. due to pains in her knee and arms.tumors in both of her lungs has been detected.Dr. diagnosed 4th stage. How long will she survive? Doctor: Thanks for your question on HCM. I can understand your mother 's situation and problem. Your mother is having stage 4 thyroid cancer. Lung metastasis in thyroid cancer is very rare. But when present, suggests poor prognosis. Stage 4 thyroid cancer is having life expectancy of less than 2 years. Five year survival rate is less than 30%.Chemotherapy can increase survival rate in some patients. So better to consult oncologist and start appropriate chemotherapy."
},
{
"from": "gpt",
"value": "Target: How long will a person with lung tumor and thyroid cancer survive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been hospitalized 5X in the past 2 years with pneumonia and CHF flare up. I was unresponsive at home when my husband awoke beside me. There was blood streaked sputum on my mouth, but when I was lifted up there was a massive amount of blood on the pillowcase, sheets etc. None of that was addressed in the hospital. An ambulance transported me to the hospital all but 1 time. My question is why was I bleeding from my lungs? Doctor: Thanks for your question on HCM. I can understand your situation and problem. Blood in sputum is known as haemoptysis.And it is seen in both pneumonia and CHF (congestive heart failure).In pneumonia due to infection from the organism, blood vessel irosion is seen and this causes blood in sputum.So in pneumonia, control of Infection is needed to stop haemoptysis. In CHF due to congestion, blood remains in the lung vessels and make them dilated. These dilated vessels are easy to rupture and cause haemoptysis. So in CHF diuretics are needed to relieve congestion and thus stop haemoptysis."
},
{
"from": "gpt",
"value": "Target: What causes bleeding from lungs inspite of having pneumonia and CHF flare up?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What causes me to feel slightly breathless, momentarily when I lie down on my right or change sleeping positions in bed or if I walk too fast or much, like climbing stairs. Also there is a pain in my right rib cage when I try to breath more deeply. BUT all these symptoms only last a minute or two, not longer. As long as I am not exerting myself, I seem to breathe normally, . . . Doctor: Hi thanks for contacting HCM...Noted here pain and dyspnea mainly on exertion that you are mentioning.First get your total hemoglobin estimation with peripheral smear examination...If anemia is present corrected with iron or vitamin B12 and folic acid tablet whichever requires.As anemia can lead dyspnea...If you are having cardiac history then dyspnea can occur...For that ECG or ECHO done...Measure your blood pressure also...If you are taking excess stress then also slight dyspnea can occur...As far as rib pain is concerned, if ribs are tender to touch it could be costochondritis or simple musculoskeletal pain...Here no need for worry.Consult physician .If needed after examination then for respiratory causes x ray or PFT useful.Take care....DR.PARTH"
},
{
"from": "gpt",
"value": "Target: What causes breathlessness with pain in rib cage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: last night a stray dog nail is scratched on my legs but my skin is not broken no blood come out a little mark with red line established on my leg immediately i took a tetanus injection i am afraid of Rabie disease should i take vaccination for rabies ? Doctor: Hi,I understand your concern. Scratch can cause transmission of the rabies virus. Rabies is very fatal disease. If the dog did not appear ill during the 10 days of observation or after, then the dog is healthy and without rabies. The person who was bit does not need any rabies vaccination. But it is very difficult to trash stay dog. I wold suggest to follow appropriate anti rabies vaccination schedule according to your doctor advise. Make sure that there is no infection and pus formation at bite site. If infection occur topical antibiotic will help.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
},
{
"from": "gpt",
"value": "Target: Is Rabies vaccination required after being scratched by a dog?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have a very intense pain from my upper left back teeth like a electric throbbing been to the dentist today they half a look n took a X-ray couldn't find anything said it wad probably sensitive teeth give me some tooth paste to rub in to teeth but at home now n pain is unbearable please help I have tried cold water works for 30 secs Doctor: Hi,Thanks for asking the query, Pain in the tooth indicates infection in the tooth, such type of infected tooth needs to be treated with root canal treatment. I would suggest you to visit to a Dentist and get a checkup done also take an IOPA radiograph.Antibiotic like amoxcillin along with aceclofenac can be helpful.I would suggest you to start with the treatment.Take care!"
},
{
"from": "gpt",
"value": "Target: What is the treatment for pain in teeth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m currently experiencing some physical discomforts. My left hand and arm keep feeling like they re going numb from lack of circulation; the lower left side of my face keeps going numb; my left shin keeps feeling like it s going numb from lack of circulation; and there s a gradual, sharp pain in the left side of my chest. It gets especially bad at night and I can t go to sleep because every time I lay down, my left side starts feeling like it s going numb from lack of circulation. I think it s an anxiety attack, but am I wrong? Doctor: Thanks for your question on HCM.I can understand your situation and problem.In my opinion you should first rule out cardiac cause for your symptoms. As left sided sharp chest pain with numbness is seen commonly in heart disease. So we need to rule out this first.Get done ECG and 2d echo to rule out cardiac cause.If both are normal than no need to worry much for cardiac cause.Vitamin B 12 deficiency can also cause numbness in the body. So get done Serum B 12 level and if deficient start supplement.Anxiety can also cause similar symptoms.So avoid stress and tension,be relax and calm.Consult psychiatrist and get done counseling sessions. Try to identify stressors in your life and start working on their solution.Don't worry, you will be alright."
},
{
"from": "gpt",
"value": "Target: What causes numbness in face and shin and sharp pain in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pernicious anemia and have been taking a nasal spray and then B-12 injections as treatment. I recently went for a physical with my primary care physician and he said the current recommendations say B-12 vitamin pills are sufficient and injections or nasal sprays to have sufficient B-12 are not required. Could you confirm? Doctor: Hi There After going through your query I understand your concern.I would like to tell you that Vitamin B-12 is the only therapy given in Pernicious anemia and you already have been prescribed with.You can enhance the treatment with dietary modifications by including eggs, milk and meat. Continuous monitor the status.Hope this will help.Kind RegardsDr. Navneet Mahajan"
},
{
"from": "gpt",
"value": "Target: How can pernicious anemia be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, about 2 months ago my legs started feeling weak and I m not walking right, I m also getting leg cramps, feel tired often and have an odd taste in my mouth. I m 62 years old. The only medicine I take is Concor and aspirin for afib which hasn t been an issue lately. Thanks Doctor: Hi, With the history it sounds to me that you are having Hypertension and on medication for the same. Now you are feeling weak with the lower limbs and not able to have good gait. Feeling tiredness and change of taste? I would like to ask you how often you indulge yourself into the physical activity in a week? Like exercise? Recent research studies have observed that people doing regular exercises for 20-30 minutes a day are having good control over their blood pressure throughout the day. Next with cramps, you are facing one as you losing more salt through urine. This is also due to sodium channel malfunction at the tissue level. Having doing regular exercise and monitoring the medicine dosage is advised. Weakness in legs is common in ageing as there is possibility of muscle fibers to become weaker with no physical exercises. I will advice you to get indulge into one. or taste buds issue I will advice you to have a word with your family physician as in hypertension these change in taste is common. Most cases with hypertension are having good ADL with combination of medicine and exercise therapy as per the research studies. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: Why my legs started feeling weak and not able to walk?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: the lusual email hoax about not drinking cold water because it may cause a heart attack has hit my inbox again. Can I have a primary source to refute this? My correspondents don't trust the usual public sources such as truthorfiction, snopes, etc. Thank you Doctor: Till date there has been no article in any peer reviewed medical journal that associates heart attacks with drinking cold water.The theory is base on an assumption that cold water after a meal clogs the fat in our food which in turns gets absorbed in the blood stream and clogs the arteries of the heart.NO EVIDENCE YET WHATSOEVER"
},
{
"from": "gpt",
"value": "Target: Is drinking cold water related to heart attack in any way?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My lower back has had a small bump on it for a couple years now. It does hurt and you cant even see the bump. Its more of a hard spot under the skin. However if I squeeze it a somewhat hard white matter comes out and it smells terrible. What is the problem?? Doctor: Welcome to Health care magic.1.Hard lump at low back with white discharge - possible cause could be infective aetiology, hair follicle infection with pus collection within.2.In this case what you have to do is not to press the lesion / bump, do not scratch. Maintain local hygiene. 3.Try clean the area with antiseptic liquid.4.Ideally a course of antibiotic treatment will help to heal the process.5.If not healing after all - a small incision and drainage might be needed for permanent cure.6.Dont forget - do not interfere the area - it will delay healing process. Good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump on lower back with white discharge"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hni, gmay I answer your health queries right now ? Please type your query here...my 13 day old son is passing stool as soon as he feeds it is watery and he passes gas a lot and is very uncomfortable but relaxes as soon as he passes stool or gas doc has prescribed vizylac pl direct as to what is wrong and is it normal Doctor: Hi, This is 100% normal. Flatus is due to the bacteria degrading proteins in the diet. It depends upon the type of good commensal bacteria in gut. No need to treat. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes loose stools in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my son recently was released from prison, he was fine so it seemed he died two days later I was told it was mrsa, there were no signs I don't think he knew he was sick, I think he may have thrown up in his sleep and aspirated. should there or could there have been signs. should I contact that facility ? he did have tattoos he got while in prison Doctor: Hi & Welcome.The suspected bacteria Methicillin resistant Staphylococcus aureus (\"MRSA\") is resistant to most of the commonly used antibiotics such as penicillin, oxacillin, amoxicillin, cephalosporins, azithromycin, etc.Based on the history given, your son seems to have acquired MRSA infection through the tattoos that he got in the prison.He should be examined by a doctor for proper clinical examination and possibly a culture and sensitivity of the skin lesions. Based on the result of this test he would be given an effective antibiotic like Vancomycin, Linezolid or Ceftroline.Hope I have answered your query. If you have any further questions I will be happy to help.Best regards."
},
{
"from": "gpt",
"value": "Target: How can MRSA be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Was in a cycling accident 9 1/2 weeks ago. Clean fracture of radial head and another clean fracture of the humerus right above the elbow. X-rays at ER taken of shoulder and wrist with no fractures apparent. Complaining of wrist, thumb, and finger pain after splint was put on by Ortho 5 days after accident. Went back to Ortho took additional wrist and hand x-rays show no fracture. Put a thumb spika on. 9 1/2 weeks later--elbow is healing well, most flexibility has returned to elbow. However, I can not bend my wrist back at all and there is sharp pain when gripping, pinching, or trying to twist (i.e. cannot twist door knob). Had an MRI which shows wrist joint capsule is inflamed along with inflammation of tendons. What is the treatment for this type of injury? Doctor: PHYSIOTHERAPY-- MOBILISATION WITH HOT WAX BATH.., ULTAR SONIC TREATMENT WRIST..FOR 4 WEEKS... IT WILL BE FINE"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for wrist injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son noticed a small sump on the side of his neck about 2 weeks ago. The doctor didn't think it was anything. He said to apply heat and let him know in a couple of weeks if it was still there. It has gotten much bigger and now after almost 2 weeks and has another big lump behind it. It has grown fast. What could this be? Made an appt. 6 days from now. What do you think? Doctor: HiLooking at the history, it appears that the lumps could be possible lymph node enlargement. Enlarged lymph nodes are seen most often secondary to infection, however get a fine needle aspiration done to find the possible cause, meanwhile you can start him on antibiotics if its large and painful.Hope this helps"
},
{
"from": "gpt",
"value": "Target: What is the lump on my son's neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor..i am 24yrs old i have a pearly penile papules around my scrotum many are saying it is due to some illegel affair or something like that but i swear so i haven't done anything like that except masturbation.so pls guide me what should i do now..its haunting me like anything i need to remove it asap. Doctor: HIThank for asking to HCMI can understand your problem this could be warts, and this is viral infection you have to see the dermatologist to remove this, hope this information helps you taka care and have nice day."
},
{
"from": "gpt",
"value": "Target: What is the remedy for penile papules around my scrotum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had to call the embulance the other night. I m not sure what happened to me. I wspine wasd colaas in so much pain all over my body . I did t know where i wae now. I got into the truck and we sts and I looked liklike my epills and contined shopping then all of we were in aning i hadopsther town I didn t reconized anything. My husband and I went to the mall to leave and my lower back started hurting so I took two pain pills and contined shopping then all of a sudden it felt like my spine was collasping. I had to leave now. And so on the way home. Istarted feeling a lot worse . The pain got intense it felt likei was going into shock or I would have a stroke. Ididnt know where I was and once we were home the pain got worse. I m not sure what was happening to me. I felt like I was in a ora Doctor: hiu seem to have some sort of nerves into ur body.u should get an detailed blood profile done and get back to me after u r done take care"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for intense pain all over the body"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yesterday, I was exercise (harder than usual) after that I had some grape, melon and yogurt..right after I felt bad headache and short of breath, nuasea and throw up.I try to thrwn up or go toilet because I know that would make me feel better. Today I still have some headache.what could it beand what to do? Thank you Doctor: Hello,Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.You in my opinion had stomach sickness, after hard exercise usually eating is not encouraged within 2-3 hours post work out, probably your stomach got upset because of ample fruits you ate . You are getting better since last day there is much improvement, it means as your body gets rid of the substances that cause sickness, you will be fine.I would suggest you not to panic you can take a tablet of Tylenol for pain and drink fluid to replace what you have lost due to vomiting. Take rest for a couple of days from the work out. Everything should stay fine. And you are expected to improve in a couple of days.I hope this answered your question, If you have more queries I am happy to answer you.Regards.Dr.Muhammad Ahmad"
},
{
"from": "gpt",
"value": "Target: What causes shortness of breath, headache, nausea and vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i just entered stage 4 kidney failore,they say in this stage i cant do any thing to protect the kidney from going into stage 5,can diet reverse this? or make it where i don t need dialysis? im type 2 diabetic since 2000. is there a future for me if i try now or is it to late? Doctor: Hello and welcome to HCM.As an Urologist, let me assure you, stage 4 kidney failure is irreversible.Diet must be observed strictly, but,it cannot reverse the failure.Diabetes itself affects the kidneys, causing diabetic nephropathy.You must be careful to avoid more than 6gm salt/day, 40gm proteins/day,avoid extra potassium forming fresh fruits,coconut water,and oily fried foods. Have green leafy vegetables,and egg white.Check your B.P. regularly and take all medications as advised.If you've any doubt,send it as a direct question to me,for expert opinion.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Can good diet reverse stage 4 kidney failure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor. I am 39 weeks pregnant. About 5 days ago (Sunday), I was taking a shower and noticed a bump on my vaginal lip (left side). I immediately grew concerned about it and asked my husband to look at it. He said it was black and looked like a blood blister and it was in the shape of a perfect circle. At that time it didn t hurt. I was worried so I brought it up to my doctor on Tuesday. She glanced at it and said that it was just a mole . Me and my husband were relieved. But later on the next day, it just didn t sit right with me. I got a mirror and a light and looked down there to see what, if anything, had changed. I noticed that another bump was growing in right next to it. It looked exactly the same, only smaller. The initial bump was getting to be a little tender to the touch. I really freaked out. I worried about it all day yesterday and decided to check myself again this morning. So, I got my mirror and light and, from what I can see, I have another 3 or 4 dark bumps or patches coming in on my left vaginal lip. I am getting really scared now. Is there any advice you can give me of what it could be? Should I call my doctor and demand a second opinion or should I head to an E.R.? Can this effect my baby? Any feedback would be greatly appreciated. Thank you. Doctor: Hi there,,If the bumps are not hurting you much, please do not be worried.These are dilatation of the veins (blood vessels) in the vagina. During pregnancy the amount of blood flow to the vagina increases this causes these dilatation of the veins. Also the progesterone hormone whose level increase in pregnancy causes a dilatation of the wall of the blood vessels resulting in thicker vessels which look bluish.These will go away soon after delivery, and as you are at 39 weeks already , you may deliver soon.If at all episiotomy is required during delivery the veins can be avoided to prevent excess blood loss.These will not affect your baby.Hope this helps.Regards."
},
{
"from": "gpt",
"value": "Target: Are dark patches of bumps near vaginal lip during pregnancy serious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 24 year old son, who has had 2 cardiac ablations to treat SVTs (last surgery was approx 18 months ago) developed bilateral bruises on his calves without injury. He is active and is not on any medication at this time. He is 6 4 , 195# and works out 3-4 times weekly. Doctor: Hi, First of all, be assured that bruises in the calf region are not related to your son's ablation at all. You did not mention that since when the bruises are developed but assuming that they are recent, the most probable cause could be a non-traumatic overstretch of the calf muscles during work out. This is not considered significant and it should be resolved after a few days up to 2 weeks (according to the extent of intramuscular hemorrhage.) There is one other thing that you should be aware. If these bruises are repeating and he had multiple episodes of this problem in various areas, history of repeated nose bleeding, history of red-colored urine (hematuria) then a series of blood tests should be done to rule out any coagulation disorder. Considering the fact that your son does not receive a specific medication and if he has not the above-mentioned problems, then you should not worry at all. Only if it is less than 48 hours since the beginning of the bruises you can use ice massage for 3-4 minutes every few hours for a few times. If it is more than 48 hours you should start gentle stretching of the calf muscle. If painful, acetaminophen should be enough as an analgesic. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Hooman Mahmoudi, Neurologist"
},
{
"from": "gpt",
"value": "Target: How to cure bilateral bruises on the calves ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Take a 671 yr old man doagnosed with MRSA, diabetic, is sepsis, has one damaged kidney, heart in a fib for six days, Being possibly aspdmitted to nursing home or rehab facility, Also has a fever that goes up and down. What are chances of a good quality of life? Doctor: Hello,There are drugs for methicillin-resistant Staphylococcus aureus (MRSA) as vancomycin and diabetes. If sepsis is control, then i don't think there should be a problem. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Varinder Joshi"
},
{
"from": "gpt",
"value": "Target: What is the prognosis for a person diagnosed with MRSA and diabetes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor....my 2 years daughter's leg coming some black spots..that was start last 2 months...i can see that one little increasing...i have change my country before 3 months...i need to know sir this is happening becourse of changing the wheather or some vitamin redusing? thank very much... Doctor: Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Will change of weather cause black spots on the leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husbands right hand started trembling yesterday n still is. His is on no medicine Except a centrum mans multi vitamin. It s not shaking vigorously just steadily. He does drink beer regularly but has never done anything like this. I m just concerned I ve been reading all kinds of things. Should we seek a Dr? Doctor: Sciatica is symptoms of compression of lumbosacral nerve and plexus ,so it give nerve supply to the back and side of thigh and leg and planter foot. The only pain in knee and ankle and foot may be due to gout or arthritis ,so you should do x-ray knee and foot. Serium uric acid should be done also, but the knee click mostly with arthritis."
},
{
"from": "gpt",
"value": "Target: What causes trembling of right hand?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: An ultra sound revealed a 3.5 size baker cyst behind my knee. It is very painful and hard to sleep at night. The doctor wanted to refer me to an orthopedic surgeon. I wanted to wait and see if it would dissolve on it s own but the pain is getting worse. What is the treatment for a baker s cyst? Doctor: Hello, I have studied your case.Bakers cyst is synovial extension from knee synovium.There is collection of synovial fluid which is intra-articularly connected.If cyst is small it can be managed conservatively with medication.If you have persistent pain and large swelling then you may need surgical excision.Do not worry about rupture of cyst.if on rupture pain has reduced then do nothing.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for baker s cyst behind knee"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my three year old daughter has been a bit out of sorts and appears to be uncomfortable in her mouth. It seems she has all her teeth so can't be teething but I noticed a small white raised dry area on the inside of her cheek. The outside of her cheek is often red and hot too. What could it be? Doctor: It seems like a case of cheek biting. Start your child on warm saline mouth rinses 3-4 times a day. Also she could apply mucopain gel on the area before eating.Make sure she spits it out and doesnt ingest the gel. Start on her a multivitamin syrup once daily. If this doesnt resolve in a week to ten days or any new symptoms show up, its advisable to see a pediatric dentist/ maxillofacial surgeon."
},
{
"from": "gpt",
"value": "Target: What causes white raised area inside cheek in kid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am age of 27 years. When I was 18, there were three little big cysts in my breast along with 2 very very small cysts. When I consulted doctor , she asked me to remove through surgery and we got it removed and send the same to laboratory for testing and found they are non-cancerous. Later she asked me to use some medicines to melt the very small ones. One got melted other one is still there as I did not take the medicines properly. Now I got married 8 months ago and thinking to plan for kids in next two months. So wil it create any problmes during my pregnancy . I am so much tensed about all these..? does it cause any problems to get pregnancy ? I am so worried .could you please help me..also am using BCP right now ? Please help me. Doctor: Hello.Welcome.You are unnecessarily getting tensed as there is no problem in pregnancy.Stop using your contraceptive pills.Take proper nutrition and do regular exercises.Good luck."
},
{
"from": "gpt",
"value": "Target: Will there be any problem in my pregnancy if i had cyst in my breast ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi... i am a 23 years old, i got married from last 2 year,,we didnt plan a baby, thats y i was using contraseptive pill but after 9 months i got pregnant, that was unplanned,, so we decided to abort it, i was only 1 month pregnant and i aborted it. Now from mid of sep 2012 i stopped taking pills because we planned for a baby,, but still em not getting pregnant.. i dont understand,, can u plx help me n tell me the reason.. Doctor: Hi, Return of ovulation after stoppage of contraceptive pills may take a couple of cycles. Also, chances of infection and tubal blockage consequent to the previous abortion have to be ruled out. If you do not conceive naturally in the next six months see an infertility specialist for evaluation. Meanwhile maintain a healthy diet, weight and avoid stress. You may take nutritional supplements like biotin and folic acid. Take care."
},
{
"from": "gpt",
"value": "Target: Had abortion. Trying to concieve. Not concieving even after discontinuing pills. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Is it dangerous for a cancer patient to be near someone who has been vaccinated for shingles? My mom is a palliative cancer patient, and her sister recently received a shingles vaccine. Is it ok for her to be visiting her (and/or is it ok for her to be in the hospice with other cancer patients)? Doctor: Hi, dearI have gone through your question. I can understand your concern. It has no relation with cancer. No need to worry about that. It is not a communicable disease. So vaccination for shingles have no any relation. She can attend the cancer patients. Don't worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Can visiting shingle vaccinated cause any problem to cancer patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: On July 21st 1995, at age 41, I had a right radical mastectomy that was a stage 3+. I had the aggressive breast cancer. December 8,1997 my breast cancer returned in lymph nodes in my right under arm area that was a stage 4. January 1998 the Bone Marrow Team in Indianapolis, IN I started an experimental autologous stem cell transplant. A group of nine Indianapolis doctors, the Mayo Clinic and John Hopkins all agreed my cancer would probably make a 3rd appearance. Since I found both of my original cancers, I was advised to be vigilant. Five weeks after the transplant and 6 weeks of radiation we were transferred to High Point, NC. I had double pneumonia in December of 2000. It scarred my lungs. January 2017 we retired and moved to Florida to be near our only child and her two sons. The master bathroom was full of Black Mold and the Kitchen had a couple of areas too. My new Hematologist/Oncologist told me I tested positive for Lupus. If my cancer returns and I have Lupus too, how could that impact my quality of life? Doctor: Hello,Having a positive antinuclear antibody does not conclude that you have lupus. Do you have the following symptoms? -Patchy hair loss , oral ulcers, and nasal ulcers. -History of seizures or strokes, blood clots, active joint pain, and stiffness. -Color changes with cold exposure and pain in the digits, skin rash and photosensitivity. Lupus diagnosis can be made only by putting together many of these criteria. I doubt you have lupus. You can see a rheumatologist to run the other tests for lupus too.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Priya Sadanandan"
},
{
"from": "gpt",
"value": "Target: How does cancer along with lupus affect the quality of life?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: yesterday, my 11 year old daughter was showing me the small portion of her gum skin hanging down. she told me it was bleeding from there in the school. but afterwords it stopped. it was not paining also. I have never seen such things. should i take her to the doctor immediately? Doctor: Thanks for your query, the bleeding gums could be because of the gum infection caused by he deposits on the teeth. consult your oral physician and get her teeth cleaned once and there after maintain the oral hygiene by brushing her teeth regularly. i hope my answer will help you take care."
},
{
"from": "gpt",
"value": "Target: Should i be worried about bleeding from the gums?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 2 years and 9 months old her weight is 10 kilos, she s probably teething and has high fever from 2-3 days, for which I am giving her Crocin syrup 5 ml. Now she s not eating anything and she has fever of 101.2 can I give her Crocin syrup on empty stomach. Doctor: Hello,Short answer: YesDetailed answer:If the baby has high fever then you have to dominate it even though the baby is not eating for the time being.The loss of appetite is due to the disease, but the baby should be protected against high fever because if it is very high (104 or more) than there is high risk for convulsions.Therefore, give Crocin even with empty stomach and try to give your baby liquids in order to keep her hydrated. Feeding the baby in these conditions will require lots of patience from your side.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ervin Toçi"
},
{
"from": "gpt",
"value": "Target: Can Crocin syrup be given to a 2-year-old on an empty stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: for the last week I have been quite ill the doctor said its a virus I had headaches, lot of mucus coming out of my nose and when sometimes it stops coming out my forehead hurts like hell, I have only been taking panadols for the last week, I even had tummy ache and diarhea, how long does a virus take to get out of oour system? Doctor: Dear Friend.Welcome to HCM. I am Dr Anshul Varshney. I have read your query in detail. I understand your concern.Usually viral fever takes 5-7 days for recovery.I would advice you following:1. To take Anti Allergic like Levocetrizine 5 mg once day.2. Steam Inhalation.3. Tab Paracetamol for fever.4. If you get persistent fever, with sputum, you might require antibiotic therapy.This is my best advise for you based on available details. If you have any further query please ask me..Stay Healthy.Dr Anshul Varshney, MD"
},
{
"from": "gpt",
"value": "Target: How long does it take for a virus infection to cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I did Siemens test,and found coliform, motility active 20% sluggish 20% and dead 60%, count is 35*10 over 6 cell/ml. Pus cells 3-4hpf,volume 5.0ml,viscosity viscous,, I was treated with antibiotics to fight the bacteria and now taking oligocare,do I have to carry out another test to confirm the position Doctor: HiThanks for using healthcare magicAll healthy males have some level of bacteria in their semen. These normally occurring flora colonize in the reproductive and urinary tracts and typically do not cause any harm. In males who aren't circumcised, bacteria may also colonize behind the foreskin. Overgrowth of this bacteria can be prevented through proper hygiene. Colonization of bacteria is not considered an infection. An infection is typically related to additional symptoms, such as urinary frequency or urgency. In your case, your semen analysis is not normal. there is no harm in checking status of sperm after one month of antibiotic course.thanks"
},
{
"from": "gpt",
"value": "Target: Treated with antibiotics for coliform, 20% motility with pus cells in the semen test. Should I get another test ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HIi tried materbating....but after that i felt a freezing effect on ma head followed by palpitation ... i had an RTA - Tentorial SAH of brain 2 months ago:am having these medicines:fluniletirestzevert franxitpantodaczolfreshbetacapplease advice what happened after i masterbated...thanks Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your taking anti depressants and anti psychotic medication which may cause erection dysfunction or numbness feeling. It may be also due to anxiety or infection or anemia or neuropathy etc. Please consult your neurophysician, he will examine and treat you accordingly. Take care."
},
{
"from": "gpt",
"value": "Target: What causes freezing effect with palpitation after masturbating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: can l purchase methotrexate online lam at present taking 3 tablets a week at 2.5mg given by the nhs. reason is l suffer from mental health and find it too difficult going to the hospital for appointments l also give blood every month which does not mean l have to travel to the hospital to do that. l do not want to go to the hospital anymore so much that l would rather buy my medicine online. thank you Doctor: Hi, Methotrexate is a anticancer drug,is also useful in arthritis and in some conditions, it is a very toxic drug with serious side effects.I do not think it can be bought online or without prescription, just too toxic to do that."
},
{
"from": "gpt",
"value": "Target: Can methotrexate be purchased online?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mama is got a mental depresion, he used to drink he drank for about 32years and now from past 5 months he left drinking after he under went de adiction treatment ,he is single now. The problem now is he at times talks things which are not related and thinks his sisters husband to b his enemy only when he is abnormal or else he is fine no other problems,he is an ex servise man Doctor: Hello Prabash, Please consult with a psychiatrist as your mama appears to be suffering from a delusional disorder (delusion of persecution). This could be due to alcohol withdrawal."
},
{
"from": "gpt",
"value": "Target: Depression, alcoholic, talks nonsense, thinks family is his enemy. Treatment for poor mental health?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m having a squeezing type pain that feels as if it is rolling from the right side of my upper abdomen to the left side. It started around a week and a half ago. I can t hardly eat because of it. I have a hiatel hernia. I have also had a total hyster with a bowel resection in 2009 due to endometriosis. Last thing was a tummy tuck last dec. should I continue to hope it will go away or seek medical attention? Doctor: Hello, Well, while adhesions or hiatal hernia CAN cause this, without an exam. I can only give general information and cannot say in your particular case, but generally, while those two are the most common causes, serious vascular problems can also cause it and it is a big cause for concern. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes squeezing type of pain in upper abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My blood pressure is usually in the rage of 143/78 pulse 81 and now is 117/69 pulse 77 (with no blood pressure medicine) I have been having problems with my legs hurting for a while now. Can not walk thru the grocery store without struggling to walk out...legs hurt so bad. Arms are very tiring when lifting and period of time I am constantly hurting and taken numerous arthritis medicines Doctor: Hello, I would explain that these blood pressure fluctuations are quite normal due to the pain and arthritis medicines, which may lead to raising in blood pressure values. So, there is no reason to worry about blood pressure values. I recommend consulting with a rheumatologist in order to help treat arthritis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes low BP and weakness in arms and legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had a baby a few days ago and now I have developed a severe cough that can make it hard to breath and talk. It kinda feels like mucus in my throat. I am wondering if this could be from the epidural? Also what could I do to help this cough? Also I am breastfeeding so I don't know what kind of medicine I can take. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of bronchitis is more likely. Bronchitis is common after delivery and epidural injection. It causes cough, mucus expectoration and breathing difficulty. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, inhaled drugs are safe for baby. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough while breastfeeding a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doc, I want to consult regarding my mother s health. She has suffered 2 times with Pancreas infection and we managed to control the effect with help of medical assistance. As told this could be due to stones in gall bladder, but we got ultrasound and found none. I am concerned of the cause of the this infection. We live in Kanpur and can be available if needed for any check up. Doctor: Hello.There are sometimes microstones (microlithiasis) or even sludge that descend from gallbladder to cause acute pancreatitis and not found with an abdominal ultrasound, so I'd have recommended a MRCP for a better diagnosis and in time of exacerbations still more sensitive. As for the remaining sequels after these recurrent episodes usually it's said that colelithiasis is not a cause of chronic pancreatitis because when found like a cause it's treated definitively with surgery. Don't forget about other causes(ingested medicines, high triglicerides, pancreas divisum, coledochocele, cystic fibrosis, sphincter of Oddi dysfunction i.e) that your doctor should exclude carefully before the diagnosis."
},
{
"from": "gpt",
"value": "Target: What causes recurring pancreas infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have been all of a sudden i have been tested as HCV positve, what should i do? there is no possiblity that test should come postive coz the means of transmission mention on the inf. available on net is not possible in my case. IS there any cure? Doctor: Hello and thank you for your question.You need to see a liver specialist for treatment recommendations. There are several genetic forms of hepatitis C and they respond to treatments differently. Please see a gastroenterologist who specializes in liver disease as soon as possible. Regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hepatitis c"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am on the cerezette pill and also penicillin for tonsillitis, do the antibiotics make the pill ineffective ? I had intercourse today and am due to have the implant tomorrow and I know you can't have the implant if there is any chance of you being pregnant. Should I take the morning after pill tomorrow will they still fit the implant ? Doctor: Hello. Thanks for writing to us. The antibiotics can decrease the efficacy of the pill by increasing its metabolism. It is best to use an additional protection like a condom in this cycle.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,[email protected]"
},
{
"from": "gpt",
"value": "Target: On Cerezette pill. Taking Penicillin for tonsillitis. Does antibiotics make the pill ineffective?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 19, Female.. all my medical results since 3 years from now was always REACTIVE ..means i have hepatitis b ..i dont have any symptoms thats why im very shocked when i knew the result.. im taking alot of food supplements since then Now im taking spirulina tablets vitc can this help me? what else should i take?? answer me please.. thank you.. Doctor: hi you may be carrier of disease it is possible that u have no sign of it. u r immunity will help u. as it is viral infection,tab has no much role. eat healthy diet with low fat level"
},
{
"from": "gpt",
"value": "Target: I have hepatitis B but i don't have any symptoms,taking spirulina"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my knees hurt. they have hurt for a long time but recently they ve gotten worse. it s whe i am sitting or laying down. mmost time when im trying to realax or im in class. im not sure how to describe the pain it starts out small and then becomes unbarable Doctor: HiU seem to b having some sort of vitamin or calcium deficiency. U shud get an xray done or an mri done n let me know Otherwise everything should b fine n nothing to worry bout Take care"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for knee pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother keep getting rash on her skin everywhere legs arms and so itch. she went to alot of doctors and did blood test and other kind of tests some doctors told her maybe some food does that to her but she stopped eating all the food doctors askd her to stop but still nothing .can you please advice me or help me about that ? Doctor: HIThank for asking to HCMI really appreciate your concern, looking to the given history here I could say that this could be idiopathic condition means no specific cause of this rash is there, but this can be easily treated and in my opinion this is can be treated with Tab Hydroxyzine 10 mg three time in day, hope this information helps you, have a nice day."
},
{
"from": "gpt",
"value": "Target: Suggest a remedy for skin rash"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir my penis in very good condition and my problem is around my glans penis one layer is there .it is covered glans penis .there is small hole ,through that my urine and sperm coming.i never saw my glans penis like normal people .iam 29 years old .now i want marry .tell me how to removal that skin? Doctor: Hello, It can be a smegma. If it is adherent to the glans, it has to be removed manually.Consult a urologist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for removal of layer from glans penis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hai. I am 22 male and have breasts not exactly as females. I am fatty and 90kg. How could I confirm whether I am dealing with a situation called gynacomastia. If yes what are the remedies as it pulls me back in every aspects of my life. Frankly I don t prefer surgery Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Gynaecomastia is a disease of teenagers and can cause mental agony to them. As you know it is nothing but abnormal growth of breast in males. Most cases are idiopathic means without any definite cause. In some cases it could be due to hormonal imbalances like low testosterone or high estrogen. Some genetic disorders can also cause this condition. No need to worry as you can surgically remove the excess breast tissues. If it is too large, you can go for liposuction. Consult a general surgeon and he will explain various treatment options. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What cause gynacomastia in males?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had some traces of blood in my urine for about 4 months now. I have all types of testing done and everything has come back negative.I do have a very small stone and a tiny cyst on the liver, but other than that all is ok. Should I still be concerned?Thank you Doctor: HelloYour finding suggests tiny simple liver cyst.It is generally an age related developmental findings.Generally this condition doesn't require any treatment.It may only require follow up ultrasound.It may require surgical intervention if there is pain,infection,increase in size etc.At present,I only advise for follow up ultrasound if you are asymptomatic.This is usually not a serious finding.Tiny calculus in liver may be due to past healed infection.It also generally doesn't require any treatment.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Suggest cause for tiny cyst & stone in liver with traces of blood in urine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is 80 years old and was diagnosed in November 2013 with emphazema and COPD. They now say the diagnosis is advanced. At this point they are not saying cancer. But she complains of constant pain in what she calls her back but upon my investigating I find that the pain is in her right wing area. Her breathing is very labored at simple things like eating or just getting to a stand up position. She quit smoking approximately 25 years ago (she was a 3 pack a day smoker). Doctor: Hi,Thanks for your query. After going through your query I came to know that your mother is suffering from COPD. Doctor has said that her disease has advanced . It means that her COPD has become more severe, it doesn't mean she developed cancer. Please follow your treating doctors advise as she will get likely to relief and unlikely to be completely cured. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back pain with emphazema and COPD"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! We're trying to have a baby and had my follicular monitoring today. My result says i have 3endometrial polyps, one antero-fundal, another posterofundal and the third attached posteriorly. I have a dominant follicle on my left ovary measuring 2.5 by 1.6 cm. My tvs result also indicates i have minimal fluid in the cul de sac. My endometrium is 1.2 cm thick. Could you let me know the results could be favorable for me to conceive? Thanks! Doctor: Hello, your endometrium thickness and the follicular size is favourable for conceiving but size of endometrial polyps is of concern. If they are of very small size then they might regresses themselves and you can go for follicular study and then have sex regularly for 3 days after your ovulation has occurred for successful pregnancy. But if the endometrial polyps are of larger size, constant in size or increasing in size then you need to meet your gynaecologist for the treatment. In my opinion if endometrial polyp are incresing in size then proper treatment should be done for them first and then go for follicular study and pregnancy. Endometrial polyps may be a premalignant condition for endometrium cancer if it shows hyperplasia with atypia. If on biopsy tissue is of normal histology then thete is no problem polyp itself is a benign condition with both medical and surgical options of treatment."
},
{
"from": "gpt",
"value": "Target: Is the follicular study favorable for me to conceive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ok my mom she is a heart patient she had a second heart attck in jan and two days before she has gone through with the Ett test and doctor advised us to go for bye pass your mom has 3 walls block so tell me Ett can describe exactly the wall situations Doctor: Hello. need for bypass or stenting can only be told by Coronary angiography , ETT can only tell whether the patient has heart disease or not. Since your mother is a lnown cardiac patient she should undergo CAG, then next step can be planned."
},
{
"from": "gpt",
"value": "Target: Can the ETT test determine the situation of the walls in heart?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my dr suggested me to use femilon contraceptive tablets to start from the first day of my period but this is my first time as i recently got married. i have not started the tablet as i came to knw about some sideffects of it. today is my sixth day of period, can i start the tablet from today? or should i follow some other method? I am 24 years old. Doctor: Hello and welcome, I understand your concern. You may start it on day 6. The only issue is you will have to use another method like a condom for the first 7 days of pill intake after which it will start protecting. So go ahead and start it on day 6. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist"
},
{
"from": "gpt",
"value": "Target: Suggested femilon contraceptive pills. Can I start the tab on the sixth day of period as against day one?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m 23 and a female I ve noticed that ive been very tired especially around lunch time it gets to the point of wanting to pass out. And when I wake up I don t feel refreshed. I ve been to the doctors office and gotten a urine sample and it comes back saying I have a lot of blood in it. I feel week all the time and I m severely depressed to the point I m being medicated for it. Idk what s wrong and idk what to get tested for? Doctor: Hi, From your query it appear that you have multiple depression symptoms. As there was blood in urine sample than you should investigated for complete blood count, renal stone and urinary tract infection. Vitamin deficiency and low hemoglobin due to blood loss may also lead to similar symptoms. Evaluation and investigation by general physician and psychiatrist will help you. Apart from that aerobic exercise, healthy diet and rest will help you. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com"
},
{
"from": "gpt",
"value": "Target: Why am I tired around lunch time? Why am I depressed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i want to know about andrino corcinoma cancer?? Doctor: Hello Thanks for nice query Any cancer arising from glands present in the tissue is known as adeno carcinoma ,it may involve many organs .Depending upon the organ involved name may also change like adenocarcinoma of stomach or lung Hope I have answered your question well to your satisfaction. Wish you speedy complete recovery at the earliest."
},
{
"from": "gpt",
"value": "Target: What is andrino corcinoma cancer ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hy, my baby is of 1 month and 18 days. since birth she is not taking mothers milk,also my wife had problem of flat nipples. now my baby is completely dependant on formula milk. her motions are dark in colour. along with formula milk ultra D3 syrup is also given to her. can you give the reason for dark stools? Doctor: HiThanks for writing to us.Dark stools could be due to formula or minor gastrointestinal tract bleeding.I would suggest you to take stool routine test.If blood is negative, be reassured.Wishing your child good healthRegardsDR Arun"
},
{
"from": "gpt",
"value": "Target: What causes dark stools in a baby while on formula milk?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: We have received the following semen analysis and are slightly confused by what we are reading online v what we have been told. Can you advise if it is normal or if you think we may need asssistance as we have been trying for 18 months. Appearance - Normal Consistancy - Abnormal Volume - 3.2 ml Liquefaction - completed within 1 hour PH - 7.7 Sperm count - 53 million Motility 34% rapid progression / 25% slow / sluggish / >1 non progressive / 41% Inmortility Morphology - 18% Normal formm / 82% Abormal form Round cells <1 ,illion Doctor: Hi welcome to HEALTHCAREMAGIC.i have gone through your question.As semen analyais shows liquefaction time 1 hour is abnormal, motility is normal, morphology is below normal. Count 53 million/ml ? Then is normal (20 million/ml) should be atleast.I would advise to go for ultrasound color doppler to see vascularity of testes and to rule out varicocele.Consult urologist with these reports.Hope i answered your question.Would be happy to help you further.Take care."
},
{
"from": "gpt",
"value": "Target: Is the semen analysis normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I found out I have a 2mm cyst on my gall bladder about 2 years ago. They said it is too small to have surgery for. But lately I have been having lower left abdominal pain, vomiting, constipation, tired, headaches, chills, nausea. Is it anything to do with the cyst? Doctor: These r not due to cyst, in cysts u will have rt abdominal pain not left, these problems may be due to so me other reason , may be change of your diet habits. .take plenty of water, avoid spicy food, reply with thanks"
},
{
"from": "gpt",
"value": "Target: Could lower left abdominal pain, vomiting and constipation be due to gall bladder cyst?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was in the philippines when a dog bit me. It was a mother and protecting her babies. She looked healthy and the owners said this dog had bit their kids before and there's never been a problem. It did not cause me to bleed and I couldnt tell if it even scratched the surface but it bruised. Since it's the philippines, I am still freaked out. It's been about one week but I cant stop thinking about it...should I go the doctor? Is it too late to get a vaccine? Doctor: HiIt's not too late to start rabies vaccinations if the skin were actually brokenYou do need to see a doctor about this"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dog bite"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small pea sized lump under my skin on my upper stomach lower chest area... It's been there a couple years not growing any. It' moves seems just attached to the underlayer of skin. Dull pain sumtimes cause the underwire of my bra sits on it. It's brown in color compared to my skin color.. My husband says it's a mole but i don't think it is! Doctor: HiWelcome to hcmThis can be sebaceous cyst or lipoma. You should show it to surgeon for confirmation.Regards"
},
{
"from": "gpt",
"value": "Target: What is the small pea sized lump on my lower chest area?"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.